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1.
Braz J Infect Dis ; 27(3): 102776, 2023.
Article in English | MEDLINE | ID: mdl-37150212

ABSTRACT

Cryptosporidiosis is a waterborne protozoal infection that may cause life-threatening diarrhea in undernourished children living in unsanitary environments. The aim of this study is to identify new biomarkers that may be related to gut-brain axis dysfunction in children suffering from the malnutrition/infection vicious cycle, necessary for better intervention strategies. Myeloperoxidase (MPO) is a well-known neutrophil-related tissue factor released during enteropathy that could drive gut-derived brain inflammation. We utilized a model of environmental enteropathy in C57BL/6 weanling mice challenged by Cryptosporidium and undernutrition. Mice were fed a 2%-Protein Diet (dPD) for eight days and orally infected with 107-C. parvum oocysts. C. parvum oocyst shedding was assessed from fecal and ileal-extracted genomic DNA by qRT-PCR. Ileal histopathology scores were assessed for intestinal inflammation. Prefrontal cortex samples were snap-frozen for MPO ELISA assay and NF-kb immunostaining. Blood samples were drawn by cardiac puncture after anesthesia and sera were obtained for serum amyloid A (SAA) and MPO analysis. Brain samples were also obtained for Iba-1 prefrontal cortex immunostaining. C. parvum-infected mice showed sustained stool oocyst shedding for six days post-infection and increased fecal MPO and inflammation scores. dPD and cryptosporidiosis led to impaired growth and weight gain. C. parvum-infected dPD mice showed increased serum MPO and serum amyloid A (SAA) levels, markers of systemic inflammation. dPD-infected mice showed greater MPO, NF-kB expression, and Iba-1 immunolabeling in the prefrontal cortex, an important brain region involved in executive function. Our findings suggest MPO as a potential biomarker for intestinal-brain axis dysfunction due to environmental enteropathy.


Subject(s)
Cryptosporidiosis , Cryptosporidium parvum , Cryptosporidium , Malnutrition , Animals , Mice , Brain/pathology , Cryptosporidiosis/complications , Cryptosporidiosis/pathology , Feces , Inflammation , Malnutrition/pathology , Mice, Inbred C57BL , NF-kappa B , Peroxidase , Serum Amyloid A Protein
2.
Br J Nutr ; 129(5): 745-758, 2023 03 14.
Article in English | MEDLINE | ID: mdl-35485727

ABSTRACT

Few studies have focused on nutrient-deficient diets and associated pathobiological dynamics of body composition and intestinal barrier function. This study evaluated the impact of a nutrient-deficient diet on physical development and intestinal morphofunctional barrier in mice. C57BL/6 (21 days of age) mice were fed a Northeastern Brazil regional basic diet (RBD) or a control diet for 21 d. The animals were subjected to bioimpedance analysis, lactulose test, morphometric analysis and quantitative reverse transcription-PCR to evaluate tight junctions and intestinal transporters. RBD feeding significantly reduced weight (P < 0·05) from day 5, weight gain from day 3 and tail length from day 14. The intake of RBD reduced total body water, extracellular fluid, fat mass and fat-free mass from day 7 (P < 0·05). RBD induced changes in the jejunum, with an increase in the villus:crypt ratio on day 7, followed by reduction on days 14 and 21 (P < 0·05). Lactulose:mannitol ratio increased on day 14 (P < 0·05). Changes in intestinal barrier function on day 14 were associated with reductions in claudin-1 and occludin, and on day 21, there was a reduction in the levels of claudin-2 and occludin. SGLT-1 levels decreased on day 21. RBD compromises body composition and physical development with dynamic changes in intestinal barrier morphofunctional. RBD is associated with damage to intestinal permeability, reduced levels of claudin-1 and occludin transcripts and return of bowel function in a chronic period.


Subject(s)
Diet , Lactulose , Mice , Animals , Occludin/genetics , Claudin-1/genetics , Claudin-1/metabolism , Weaning , Lactulose/metabolism , Mice, Inbred C57BL , Intestinal Mucosa/metabolism , Body Composition
3.
Braz. j. infect. dis ; 27(3): 102776, 2023. graf
Article in English | LILACS-Express | LILACS | ID: biblio-1447676

ABSTRACT

Abstract Cryptosporidiosis is a waterborne protozoal infection that may cause life-threatening diarrhea in undernourished children living in unsanitary environments. The aim of this study is to identify new biomarkers that may be related to gut-brain axis dysfunction in children suffering from the malnutrition/infection vicious cycle is necessary for better intervention strategies. Myeloperoxidase (MPO) is a well-known neutrophil-related tissue factor released during enteropathy that could drive gut-derived brain inflammation. We utilized a model of environmental enteropathy in C57BL/6 weanling mice challenged by Cryptosporidium and undernutrition. Mice were fed a 2%-Protein Diet (dPD) for eight days and orally infected with 107-C. parvum oocysts. C. parvum oocyst shedding was assessed from fecal and ileal-extracted genomic DNA by qRT-PCR. Ileal histopathology scores were assessed for intestinal inflammation. Prefrontal cortex samples were snap-frozen for MPO ELISA assay and NF-kb immunostaining. Blood samples were drawn by cardiac puncture after anesthesia and sera were obtained for serum amyloid A (SAA) and MPO analysis. Brain samples were also obtained for Iba-1 prefrontal cortex immunostaining. C. parvum-infected mice showed sustained stool oocyst shedding for six days post-infection and increased fecal MPO and inflammation scores. dPD and cryptosporidiosis led to impaired growth and weight gain. C. parvum-infected dPD mice showed increased serum MPO and serum amyloid A (SAA) levels, markers of systemic inflammation. dPD-infected mice showed greater MPO, NF-kB expression, and Iba-1 immunolabeling in the prefrontal cortex, an important brain region involved in executive function. Our findings suggest MPO as a potential biomarker for intestinal-brain axis dysfunction due to environmental enteropathy.

4.
Braz J Microbiol ; 53(4): 1781-1787, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35882715

ABSTRACT

Bundle-forming pili (BFP) are implicated in the virulence of typical enteropathogenic E. coli (EPEC), resulting in enhanced colonization and mild to severe disease outcomes; hence, non-functional BFP may have a major influence on disease outcomes in vivo. Weaned antibiotic pre-treated C57BL/6 mice were orally infected with EPEC strain UMD901 (E2348/69 bfpA C129S); mice were monitored daily for body weight; stool specimens were collected daily; and intestinal tissues were collected at the termination of the experiment on day 3 post-infection. Real-time PCR was used to quantify fecal shedding and tissue burden. Intestinal inflammatory biomarkers lipocalin-2 (LCN-2) and myeloperoxidase (MPO) were also assessed. Infection caused substantial body weight loss, bloody diarrhea, and intestinal colonization with fecal and intestinal tissue inflammatory biomarkers that were comparable to those previously published with the wild-type typical EPEC strain. Here we further report on the evaluation of an EPEC infection model, showing how disruption of bfp function does not impair, and may even worsen diarrhea, colonization, and intestinal disruption and inflammation. More research is needed to understand the role of bfp in pathogenicity of EPEC infections in vivo.


Subject(s)
Enteropathogenic Escherichia coli , Escherichia coli Infections , Escherichia coli Proteins , Animals , Mice , Bacterial Adhesion , Diarrhea , Enteropathogenic Escherichia coli/genetics , Escherichia coli Infections/microbiology , Inflammation , Mice, Inbred C57BL
5.
Braz. J. Pharm. Sci. (Online) ; 58: e20238, 2022. tab, graf
Article in English | LILACS | ID: biblio-1420480

ABSTRACT

Abstract The objective of this study was to determine the prevalence and describe the factors associated with off-label drug use in an adult intensive care unit (ICU) of a Brazilian hospital. An analytical, cross-sectional, prospective study was conducted in the adult ICU population from March 2018 to May 2018. Off-label use of medication was classified by indication, dosage, route of administration, type and volume of diluent, and duration of administration. Most patients were female (57.89%), non-elderly (56.14%), and had a mean age of 54.44 ± 17.15 years. The prevalence of off-label drug use was 70.31%, but was not associated with the clinical severity of the patients. A statistically significant association was observed between label use of drugs and prescribing potentially inappropriate medicines (PIM). The most common reasons for off-label drug use were therapeutic indication (19.58%) and volume of diluent (23.30%). Drug administration by enteral tubes accounted for the largest number of off-label uses due to route of administration (90.85%). There was a higher prevalence of off-label use of systemic antimicrobials (14.44%) and norepinephrine (9.28%). Our study provided a broad characterization of off-label drug use in an adult ICU and showed why it is important for health professionals to evaluate the specific risks and benefits of this practice


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Brazil/ethnology , Pharmaceutical Preparations/supply & distribution , Off-Label Use/statistics & numerical data , Hospitals/classification , Intensive Care Units/classification , Organization and Administration/statistics & numerical data , Prevalence , Critical Care/statistics & numerical data
6.
Sci Total Environ ; 797: 149059, 2021 Nov 25.
Article in English | MEDLINE | ID: mdl-34303228

ABSTRACT

Evaporation is a major factor controlling the hydrological dynamics of surface water reservoirs in dry environments, therefore quantification with minimal uncertainties is desired. The aim of this paper is to assess the spatial variability and impact of riparian vegetation on reservoir evaporation by remote sensing. Eight reservoirs located in subhumid and semi-arid climates in the Brazilian Drylands were studied. Scenes from Landsat 5 and Landsat 8 satellites (1985 and 2018) supplied the data for four evaporation models. For reference evaporation, the Class A Pan and Piché Evaporimeter closest to the reservoirs were considered. The occurrence/density of riparian vegetation was associated with the Normalized Difference Vegetation Index (NDVI) and its influence on evaporation was assessed. The Surface Energy Balance System for Water (AquaSEBS) model presented the best average performance (Nash-Sutcliffe Efficiency coefficient 0.40 ± 0.19). Evaporation was observed to be higher at the reservoirs' margins and near the dams, due to the contact of exposed soil and rock/concrete, respectively, which transfer heat to the water. Marginal areas near the riparian forest presented low evaporation rates with decreases between 18% and 31% in relation to the average. This interdependence was evidenced by the high negative correlation (R2 0.87-0.96) between NDVI and evaporation; vegetation reduces radiation because of the shading of the reservoir margin and changes local aerodynamics, reducing evaporation. Depending on the spatial variability of evaporation, it was found that the volumes transferred to the atmosphere may have variations of up to 30%. On average, the evaporated volume in all the studied reservoirs is 450,000 m3/day, a quantity enough to supply more than two million people. Overall, the results of this study contribute not only to a better understanding of the spatial variability of evaporation in surface reservoirs, but also of the interdependence between riparian vegetation and evaporation rates.


Subject(s)
Ecosystem , Hydrology , Forests , Humans , Soil , Water
7.
Nutrition ; 85: 111087, 2021 05.
Article in English | MEDLINE | ID: mdl-33545543

ABSTRACT

OBJECTIVE: Vitamin A is commonly recommended as a treatment for diarrhea and undernutrition; however, little is known about the underlying cellular mechanisms. The aim of this study was to investigate the modulation of cell cycle by vitamin A derivatives (retinyl palmitate or retinol) in undernourished intestinal epithelial crypts (IEC-6). METHODS: IEC-6 cells were exposed to nutrient deprivation (no serum and no glutamine) and supplemented with retinyl palmitate or retinol at a range of 2 to 20 µM. Proliferation, apoptosis/necrosis, cell cycle process, and gene transcription were assessed. RESULTS: Nutrient deprivation for 6, 12, 24, or 48 h decreased cell proliferation, and retinyl palmitate further decreased it after 24 and 48 h. Apoptosis rates were reduced by undernourishment and further reduced by retinyl palmitate after 48 h; whereas necrosis rates were unaltered. Undernourishment induced overall cell quiescence, increased percentage of cells in G0/G1 phase and decreased percentage of cells in S phase after 12 h and in G2/M phases at 6, 12, and 24 h after treatment. Both retinoids also showed cell quiescence induction with less cells in G2/M phases after 48 h, whereas only retinol showed significant modulation of G0/G1 and S phases. Both retinoids also increased markers of cell differentiation Fabp and Iap gene transcriptions in about fivefold rates after 42 h. Furthermore, specific gene transcriptions related to MAP kinase signaling pathway regulation of cell differentiation and cell cycle regulation were triggered by retinoids in undernourished IEC-6, with higher levels of expression for Atf2 and C-jun genes. CONCLUSIONS: These findings indicated that both vitamin A derivatives induce further survival mechanisms in undernourished intestinal epithelial crypt cells. These mechanisms include increased cell quiescence, decreased apoptosis, increased cell differentiation, and transcription of genes related to MAP kinase signaling pathway.


Subject(s)
Retinoids , Vitamin A , Cell Cycle , Cell Differentiation , Cell Division , Epithelial Cells , Nutrients , Retinoids/pharmacology , Vitamin A/pharmacology
8.
NPJ Vaccines ; 5(1): 30, 2020.
Article in English | MEDLINE | ID: mdl-32257392

ABSTRACT

Vaccine studies for Shigella flexneri and enterotoxigenic Escherichia coli have been impaired by the lack of optimal animal models. We used two murine models to show that a S. flexneri 2a bivalent vaccine (CVD 1208S-122) expressing enterotoxigenic Escherichia coli colonization factor antigen-I (CFA/I) and the binding subunits A2 and B of heat labile-enterotoxin (LTb) is immunogenic and protects against weight loss and diarrhea. These findings document the immunogenicity and pre-clinical efficacy effects of CVD 1208S-122 vaccine and suggest that further work can help elucidate relevant immune responses and ultimately its clinical efficacy in humans.

9.
Sci Total Environ ; 670: 158-169, 2019 Jun 20.
Article in English | MEDLINE | ID: mdl-30903890

ABSTRACT

Reservoir networks have been established worldwide to ensure water supply, but water availability is endangered quantitatively and qualitatively by sedimentation. Reuse of sediment silted in reservoirs as fertilizer has been proposed, thus transforming nutrient-enriched sediments from waste into resource. The aim of this study is to assess the potential of reusing sediment as a nutrient source for agriculture a semiarid basin in Brazil, where 1029 reservoirs were identified. Sedimentation was modelled for the entire reservoir network, accounting for 7 × 105 tons y-1 of sediment deposition. Nutrients contents in reservoir sediments was analysed and compared to nutrients contents of agricultural soils in the catchment. The potential of reusing sediment as fertilizer was assessed for maize crops (Zea mays L.) and the sediment mass required to fertilize the soil was computed considering that the crop nitrogen requirement would be fully provided by the sediment. Economic feasibility was analysed by comparing the costs of the proposed practice to those obtained if the area was fertilized by traditional means. Results showed that, where reservoirs fall dry frequently and sediments can be removed by excavation, soil fertilization with sediment presents lower costs than those observed for application of commercial chemical fertilizers. Compared to conventional fertilization, when using sediments with high nutrient content, 25% of costs could be saved, while when using sediments with low nutrient content costs are 9% higher. According to the local conditions, sediments with nitrogen content above 1.5 g kg-1 are cost efficient as nitrogen source. However, physical and chemical analyses are recommended to define the sediment mass to be used and to identify any constraint to the application of the practice, like the high sodium adsorption ratio observed in one of the studied reservoirs, which can contribute to soil salinization.


Subject(s)
Agriculture , Conservation of Natural Resources/methods , Cost-Benefit Analysis , Fertilizers , Nitrogen , Brazil , Soil , Water Pollutants, Chemical , Water Supply
10.
Int J Med Microbiol ; 309(2): 151-158, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30733116

ABSTRACT

Shigella/Enteroinvasive Escherichia coli (EIEC) pathotype is a major enteropathogen associated with diarrhea and malnutrition in children from developing countries. This study aimed to correlate Shigella/EIEC virulence-related genes (VRGs) with clinical symptoms, nutritional status and coenteropathogens in children from the Brazilian semiarid region. We designed a case-control study of community diarrhea in six cities of the Brazil semiarid region with 1200 children aging 2-36 months. Standardized questionnaire was applied for collecting sociodemographic, nutritional status and clinical information of the children. DNA samples were extracted from stools and diagnosed for Shigella/EIEC using PCR-based approaches. Positive samples were tested for 28 VRGs using four multiplex PCRs. Intestinal inflammation was determined by measuring fecal myeloperoxidase (MPO). Shigella/EIEC pathotype was detected in 5% of the children and was significantly associated with diarrhea. The genes sen (encoding Shigella enterotoxin 2), ipgB2, ipgB1 (both encoding type 3 secretion system-T3SS effectors that modulate actin filament), and ospF (encoding a T3SS effector involved in suppression of host responses) were further associated with diarrhea in Shigella/EIEC positive children. Among children presenting diarrhea, virA gene (encoding a T3SS effector that promotes microtubule destabilization) was associated with fever, while virB (encoding a major transcriptional activator) was associated with low height-for-age z-score. In addition, these VRGs were associated with increased fecal MPO, and coinfection with Salmonella spp. was associated with increased abdominal pain. These data reinforce the impact of Shigella/EIEC on diarrhea in children from Brazilian semiarid region and highlighted the contributions of specific virulence genes for its pathobiology.


Subject(s)
Diarrhea/pathology , Dysentery, Bacillary/pathology , Escherichia coli Infections/pathology , Escherichia coli/isolation & purification , Malnutrition/pathology , Shigella/isolation & purification , Virulence Factors/genetics , Brazil/epidemiology , Case-Control Studies , Child, Preschool , Cities/epidemiology , Cross-Sectional Studies , Desert Climate , Diarrhea/epidemiology , Diarrhea/microbiology , Dysentery, Bacillary/epidemiology , Dysentery, Bacillary/microbiology , Escherichia coli/genetics , Escherichia coli/pathogenicity , Escherichia coli Infections/epidemiology , Escherichia coli Infections/microbiology , Female , Genes, Bacterial , Humans , Infant , Male , Malnutrition/epidemiology , Malnutrition/microbiology , Polymerase Chain Reaction , Shigella/genetics , Shigella/pathogenicity , Surveys and Questionnaires , Treatment Outcome
11.
J Clin Microbiol ; 57(4)2019 04.
Article in English | MEDLINE | ID: mdl-30728193

ABSTRACT

Enteropathogenic Escherichia coli (EPEC) is a major cause of diarrhea in children from developing countries and presents high genetic variability. We aimed to characterize the EPEC virulence-related gene (VRG) distribution and copathogens associated with diarrhea and nutrition-related outcomes in children from the low-income Brazilian semiarid region. A cross-sectional case-control study of diarrhea was conducted in 1,191 children aged 2 to 36 months from the northeast region of Brazil. Stool samples were collected and clinical, epidemiological, and anthropometric data were identified from each child. A broad molecular evaluation of enteropathogens was performed, and EPEC-positive samples were further investigated for 18 VRGs using five multiplex PCRs. EPEC was detected in 28.2% of the study population, with similar proportions among cases and controls. Typical EPEC (tEPEC) infections were more often associated with diarrhea than atypical EPEC (aEPEC) infections, while aEPEC infections presented a higher prevalence. The VRG ler, a negative regulator of the locus of enterocyte effacement, was associated with the absence of diarrhea in aEPEC-positive children; espB, a major component of the type 3 secretion system, was associated with diarrhea in tEPEC-positive children; the presence of procolonization VRGs-the combination of cesT positivity, espP negativity, and the presence of the map gene-was associated with undernutrition; and Campylobacter spp., norovirus, and enteroaggregative E. coli (EAEC) coinfections were associated with increased clinical severity in EPEC-infected children. These data identified tEPEC strains associated with diarrhea and specific VRGs of EPEC (ler, espB, cesT, and map genes) and Campylobacter spp., norovirus, and EAEC to be major contributors to diarrhea and undernutrition in children from a low-income Brazilian region.


Subject(s)
Diarrhea/epidemiology , Diarrhea/microbiology , Enteropathogenic Escherichia coli/genetics , Escherichia coli Infections/epidemiology , Virulence Factors/genetics , Bacteria/genetics , Bacteria/pathogenicity , Brazil/epidemiology , Case-Control Studies , Child, Preschool , Cross-Sectional Studies , Desert Climate , Enteropathogenic Escherichia coli/pathogenicity , Escherichia coli Infections/microbiology , Feces/microbiology , Female , Humans , Infant , Male , Prevalence , Virulence/genetics , Viruses/genetics , Viruses/pathogenicity
12.
Gut Microbes ; 10(5): 615-630, 2019.
Article in English | MEDLINE | ID: mdl-30712505

ABSTRACT

Shigella is one of the major enteric pathogens worldwide. We present a murine model of S. flexneri infection and investigate the role of zinc deficiency (ZD). C57BL/6 mice fed either standard chow (HC) or ZD diets were pretreated with an antibiotic cocktail and received S. flexneri strain 2457T orally. Antibiotic pre-treated ZD mice showed higher S. flexneri colonization than non-treated mice. ZD mice showed persistent colonization for at least 50 days post-infection (pi). S. flexneri-infected mice showed significant weight loss, diarrhea and increased levels of fecal MPO and LCN in both HC and ZD fed mice. S. flexneri preferentially colonized the colon, caused epithelial disruption and inflammatory cell infiltrate, and promoted cytokine production which correlated with weight loss and histopathological changes. Infection with S. flexneri ΔmxiG (critical for type 3 secretion system) did not cause weight loss or diarrhea, and had decreased stool shedding duration and tissue burden. Several biochemical changes related to energy, inflammation and gut-microbial metabolism were observed. Zinc supplementation increased weight gains and reduced intestinal inflammation and stool shedding in ZD infected mice. In conclusion, young antibiotic-treated mice provide a new model of oral S. flexneri infection, with ZD promoting prolonged infection outcomes.


Subject(s)
Diarrhea/pathology , Disease Models, Animal , Dysentery, Bacillary/pathology , Shigella flexneri/pathogenicity , Zinc/deficiency , Animals , Anti-Bacterial Agents/administration & dosage , Body Weight , Colon/metabolism , Colon/microbiology , Colon/pathology , Diarrhea/drug therapy , Diarrhea/metabolism , Diarrhea/microbiology , Dysentery, Bacillary/drug therapy , Dysentery, Bacillary/metabolism , Dysentery, Bacillary/microbiology , Feces/enzymology , Feces/microbiology , Intestinal Mucosa/microbiology , Intestinal Mucosa/pathology , Metabolome , Mice, Inbred C57BL , Mutation , Shigella flexneri/genetics , Shigella flexneri/growth & development , Type III Secretion Systems/genetics
13.
Sci Rep ; 8(1): 12154, 2018 08 14.
Article in English | MEDLINE | ID: mdl-30108263

ABSTRACT

Acute kidney injury (AKI) and metabolic dysfunction are critical complications in sepsis syndrome; however, their pathophysiological mechanisms remain poorly understood. Therefore, we evaluated whether the pharmacological properties of 6-gingerol (6G) and 10-gingerol (10G) could modulate AKI and metabolic disruption in a rat model of sepsis (faecal peritonitis). Animals from the sham and AKI groups were intraperitoneally injected with 6G or 10G (25 mg/kg). Septic AKI decreased creatinine clearance and renal antioxidant activity, but enhanced oxidative stress and the renal mRNA levels of tumour necrosis factor-α, interleukin-1ß, and transforming growth factor-ß. Both phenol compounds repaired kidney function through antioxidant activity related to decreased oxidative/nitrosative stress and proinflammatory cytokines. Metabolomics analysis indicated different metabolic profiles for the sham surgery group, caecal ligation and puncture model alone group, and sepsis groups treated with gingerols. 1H nuclear magnetic resonance analysis detected important increases in urinary creatine, allantoin, and dimethylglycine levels in septic rats. However, dimethylamine and methylsulfonylmethane metabolites were more frequently detected in septic animals treated with 6G or 10G, and were associated with increased survival of septic animals. Gingerols attenuated septic AKI by decreasing renal disturbances, oxidative stress, and inflammatory response through a mechanism possibly correlated with increased production of dimethylamine and methylsulfonylmethane.


Subject(s)
Acute Kidney Injury/prevention & control , Catechols/administration & dosage , Fatty Alcohols/administration & dosage , Peritonitis/complications , Sepsis/complications , Acute Kidney Injury/etiology , Acute Kidney Injury/metabolism , Acute Kidney Injury/mortality , Animals , Dimethyl Sulfoxide/metabolism , Dimethylamines/metabolism , Disease Models, Animal , Feces/microbiology , Humans , Injections, Intraperitoneal , Male , Metabolome/drug effects , Metabolomics , Oxidative Stress/drug effects , Peritonitis/metabolism , Peritonitis/microbiology , Peritonitis/mortality , Rats , Rats, Wistar , Sepsis/metabolism , Sepsis/microbiology , Sepsis/mortality , Sulfones/metabolism , Survival Analysis , Treatment Outcome
14.
Nutrients ; 10(9)2018 Aug 21.
Article in English | MEDLINE | ID: mdl-30134532

ABSTRACT

The micronutrient vitamin A refers to a group of compounds with pleiotropic effects on human health. These molecules can modulate biological functions, including development, vision, and regulation of the intestinal barrier. The consequences of vitamin A deficiency and supplementation in children from developing countries have been explored for several years. These children live in an environment that is highly contaminated by enteropathogens, which can, in turn, influence vitamin A status. Vitamin A has been described to modulate gene expression, differentiation and function of diverse immune cells; however, the underlying mechanisms are not fully elucidated. This review aims to summarize the most updated advances on elucidating the vitamin A effects targeting intestinal immune and barrier functions, which may help in further understanding the burdens of malnutrition and enteric infections in children. Specifically, by covering both clinical and in vivo/in vitro data, we describe the effects of vitamin A related to gut immune tolerance/homeostasis, intestinal barrier integrity, and responses to enteropathogens in the context of the environmental enteric dysfunction. Some of the gaps in the literature that require further research are also highlighted.


Subject(s)
Child Nutrition Disorders/immunology , Communicable Diseases/metabolism , Immunity, Mucosal , Intestinal Diseases/metabolism , Intestinal Mucosa/metabolism , Malnutrition/metabolism , Vitamin A Deficiency/metabolism , Vitamin A/metabolism , Age Factors , Animals , Child , Child Nutrition Disorders/metabolism , Child Nutrition Disorders/physiopathology , Child Nutrition Disorders/therapy , Child Nutritional Physiological Phenomena , Child, Preschool , Communicable Diseases/immunology , Communicable Diseases/physiopathology , Communicable Diseases/therapy , Dietary Supplements , Host-Pathogen Interactions , Humans , Infant , Intestinal Diseases/immunology , Intestinal Diseases/physiopathology , Intestinal Diseases/therapy , Intestinal Mucosa/immunology , Intestinal Mucosa/physiopathology , Malnutrition/immunology , Malnutrition/physiopathology , Malnutrition/therapy , Nutritional Status , Permeability , Signal Transduction , Vitamin A/administration & dosage , Vitamin A/immunology , Vitamin A Deficiency/immunology , Vitamin A Deficiency/physiopathology , Vitamin A Deficiency/therapy
15.
Pesqui. vet. bras ; 38(4): 762-766, abr. 2018. tab
Article in English | LILACS, VETINDEX | ID: biblio-955383

ABSTRACT

Diarrheagenic Escherichia coli (DEC) are considered one of the major causes of human diarrhea in developing countries. Some studies have pointed wild birds as important reservoirs for these pathogens. However, scarce species from the Psittaciformes order have been investigated. This study aimed to evaluate the presence of DEC strains in Psittaciformes from illegal wildlife trade. A total of 78 E. coli strains isolated from cloacal swab samples of 167 Psittaciformes in the Ceará State, Brazil, were evaluated regarding the presence of the following DEC virulence genes by polymerase chain reaction (PCR): eaeA and bfpA genes (Enteropathogenic E. coli - EPEC); stx1 and stx2 (Shiga toxin-producing E. coli - STEC); estA and eltB (Enterotoxigenic E. coli - ETEC); ipaH (Enteroinvasive E. coli - EIEC); aatA and aaiC (Enteroaggregative E. coli - EAEC). Positive strains for eaeA and bfpA genes were considered typical EPEC, while strain positive exclusively for the eaeA gene were classified as atypical EPEC. The eaeA gene was identified in 20 E. coli strains and bfpA in 22 isolates. In addition, 11 and 9 belonged to tEPEC and aEPEC, respectively. No strain was positive for stx1 or stx2. A total of 47 (60.3%) strains and a total of 136 birds (81.4%) were negative for the remaining DEC pathotypes investigated. In conclusion, psittacine from illegal wildlife trade in Ceará State, Brazil, presented a relevant prevalence of typical and atypical EPEC, potentially playing a role as reservoirs of DEC strains in the environment. Thus, proper control measures must be adopted to block the spread of these pathogens.(AU)


Escherichia coli diarreiogênicas (DEC) são consideradas uma das causas mais importantes de diarreia em países em desenvolvimento. Alguns estudos têm apontado aves silvestres como importantes reservatórios destes patógenos, entretanto, poucas espécies da ordem Psittaciformes têm sido investigada. O objetivo deste estudo foi analisar a presença de cepas de E. coli diarreiogênicas em Psittaciformes do tráfico de animais silvestres. Um total de 78 amostras de E. coli isoladas de suabes cloacais provenientes de 167 de Psittaciformes do Ceará, Brasil, foram avaliadas quanto a presença dos seguintes genes de virulência DEC por meio de reação em cadeia de polimerase (PCR): eaeA e bfpA (E. coli Enteropatogênica - EPEC); stx1 e stx2 (E. coli produtora de Shiga - STEC); estA e eltB (E. coli Enterotoxigênica - ETEC); ipaH (E. coli Enteroinvasiva - EIEC); aatA e aaiC (E. coli Enteroagregativa - EAEC). As cepas positivas para os genes eaeA e bfpA foram consideradas EPEC típicas, enquanto que as positivas exclusivamente para o gene eaeA foram classificadas como EPEC atípicas. O gene eaeA foi identificado em 20 cepas de E. coli e o gene bfpA em 22 dos isolados. Adicionalmente, 11 e 9 cepas foram classificadas como EPEC típicas e atípicas, respectivamente. Nenhuma cepa foi positiva para os genes stx1 e stx2. Um total de 47 cepas (60,3%) e um total de 136 aves (81,4%) foram negativas para os demais patotipos DEC pesquisados. Em conclusão, psitacídeos provenientes do tráfico de aves silvestres do estado do Ceará, Brasil, apresentaram relevante prevalência de EPEC típicas e atípicas, potencialmente participando como reservatórios de cepas DEC no ambiente. Portanto, medidas de controle devem ser adotadas para inibir a disseminação destes patógenos.(AU)


Subject(s)
Psittaciformes/abnormalities , Escherichia coli/genetics
16.
Diagn Microbiol Infect Dis ; 90(3): 198-205, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29217418

ABSTRACT

Molecular characterization of virulence and antimicrobial resistance profiles were determined for Shigella species isolated from children with diarrhea in Fortaleza, Brazil. Fecal specimens were collected along with socioeconomic and clinical data from children with moderate to severe diarrhea requiring emergency care. Shigella spp. were isolated by standard microbiological techniques, and we developed 4 multiplex polymerase chain reaction assays to detect 16 virulence-related genes (VRGs). Antimicrobial susceptibility tests were performed using disk diffusion assays. S. flexneri and S. sonnei were the predominant serogroups. S. flexneri was associated with low monthly incomes; more severe disease; higher number of VRGs; and presence of pic, set, and sepA genes. The SepA gene was associated with more intense abdominal pain. S. flexneri was correlated with resistance to ampicillin and chloramphenicol, whereas S. sonnei was associated with resistance to azithromycin. Strains harboring higher numbers of VRGs were associated with resistance to more antimicrobials. We highlight the correlation between presence of S. flexneri and sepA, and increased virulence and suggest a link to socioeconomic change in northeastern Brazil. Additionally, antimicrobial resistance was associated with serogroup specificity in Shigella spp. and increased bacterial VRGs.


Subject(s)
Anti-Bacterial Agents/pharmacology , Dysentery, Bacillary/microbiology , Shigella flexneri/genetics , Shigella flexneri/pathogenicity , Shigella sonnei/genetics , Shigella sonnei/pathogenicity , Ampicillin/pharmacology , Azithromycin/pharmacology , Bacterial Proteins/genetics , Brazil , Chloramphenicol/pharmacology , Disk Diffusion Antimicrobial Tests , Drug Resistance, Bacterial , Dysentery, Bacillary/drug therapy , Humans , Multiplex Polymerase Chain Reaction/methods , Serine Proteases/genetics , Shigella flexneri/drug effects , Shigella flexneri/isolation & purification , Shigella sonnei/drug effects , Shigella sonnei/isolation & purification , Virulence/genetics
17.
Clinics (Sao Paulo) ; 71(2): 82-9, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26934237

ABSTRACT

OBJECTIVE: This work aimed to evaluate and correlate symptoms, biochemical blood test results and single nucleotide polymorphisms for lactose intolerance diagnosis. METHOD: A cross-sectional study was conducted in Fortaleza, Ceará, Brazil, with a total of 119 patients, 54 of whom were lactose intolerant. Clinical evaluation and biochemical blood tests were conducted after lactose ingestion and blood samples were collected for genotyping evaluation. In particular, the single nucleotide polymorphisms C>T-13910 and G>A-22018 were analyzed by restriction fragment length polymorphism/polymerase chain reaction and validated by DNA sequencing. RESULTS: Lactose-intolerant patients presented with more symptoms of flatulence (81.4%), bloating (68.5%), borborygmus (59.3%) and diarrhea (46.3%) compared with non-lactose-intolerant patients (p<0.05). We observed a significant association between the presence of the alleles T-13910 and A-22018 and the lactose-tolerant phenotype (p<0.05). After evaluation of the biochemical blood test results for lactose, we found that the most effective cutoff for glucose levels obtained for lactose malabsorbers was <15 mg/dL, presenting an area under the receiver operating characteristic curve greater than 80.3%, with satisfactory values for sensitivity and specificity. CONCLUSIONS: These data corroborate the association of these single nucleotide polymorphisms (C>T-13910 and G>A-22018) with lactose tolerance in this population and suggest clinical management for patients with lactose intolerance that considers single nucleotide polymorphism detection and a change in the biochemical blood test cutoff from <25 mg/dL to <15 mg/dL.


Subject(s)
Lactose Intolerance/diagnosis , Lactose Intolerance/genetics , Polymorphism, Single Nucleotide , Adolescent , Adult , Aged , Alleles , Area Under Curve , Blood Glucose/analysis , Brazil/ethnology , Cross-Sectional Studies , Female , Genotype , Humans , Lactose/pharmacokinetics , Lactose Intolerance/blood , Male , Middle Aged , Phenotype , Polymorphism, Restriction Fragment Length , Sensitivity and Specificity , Young Adult
18.
Clinics ; 71(2): 82-89, Feb. 2016. tab, graf
Article in English | LILACS | ID: lil-774528

ABSTRACT

OBJECTIVE: This work aimed to evaluate and correlate symptoms, biochemical blood test results and single nucleotide polymorphisms for lactose intolerance diagnosis. METHOD: A cross-sectional study was conducted in Fortaleza, Ceará, Brazil, with a total of 119 patients, 54 of whom were lactose intolerant. Clinical evaluation and biochemical blood tests were conducted after lactose ingestion and blood samples were collected for genotyping evaluation. In particular, the single nucleotide polymorphisms C>T-13910 and G>A-22018 were analyzed by restriction fragment length polymorphism/polymerase chain reaction and validated by DNA sequencing. RESULTS: Lactose-intolerant patients presented with more symptoms of flatulence (81.4%), bloating (68.5%), borborygmus (59.3%) and diarrhea (46.3%) compared with non-lactose-intolerant patients (p<0.05). We observed a significant association between the presence of the alleles T-13910 and A-22018 and the lactose-tolerant phenotype (p<0.05). After evaluation of the biochemical blood test results for lactose, we found that the most effective cutoff for glucose levels obtained for lactose malabsorbers was <15 mg/dL, presenting an area under the receiver operating characteristic curve greater than 80.3%, with satisfactory values for sensitivity and specificity. CONCLUSIONS: These data corroborate the association of these single nucleotide polymorphisms (C>T-13910 and G>A-22018) with lactose tolerance in this population and suggest clinical management for patients with lactose intolerance that considers single nucleotide polymorphism detection and a change in the biochemical blood test cutoff from <25 mg/dL to <15 mg/dL.


Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Lactose Intolerance/diagnosis , Lactose Intolerance/genetics , Polymorphism, Single Nucleotide , Alleles , Area Under Curve , Blood Glucose/analysis , Brazil/ethnology , Cross-Sectional Studies , Genotype , Lactose Intolerance/blood , Lactose/pharmacokinetics , Phenotype , Polymorphism, Restriction Fragment Length , Sensitivity and Specificity
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